Full disclosure of administrative fees, rebates and spread pricing practices is essential to ensure PBM incentives align with a client's best interests.

The conclusion of the longest government shutdown in history and rising political acrimony rightly receives a great deal of attention but this focus makes it easy to overlook areas where beneficial ...

Bipartisan policies in Congress meant to lower drug costs by targeting middlemen in the pharmaceutical supply chain are likely to run up against a fundamental issue: the three major pharmacy benefit ...

In a conversation hosted by DSN, EmpiRx Health CEO Danny Sanchez and EmpiRx Health President John Ridyard detailed how their mid-market PBM is gaining traction by putting pharmacists at the center of ...

Vertical integration and limited PBM competition can distort formulary placement incentives, enabling rebate-driven list price inflation while obscuring true net costs from employers, pharmacies, and ...

The House Committee on Oversight and Government Reform said last week that it’s expanding its investigation into the role of pharmacy benefit managers by seeking information about how they use foreign ...

DECATUR, Ill. (WAND) — Independent pharmacies across Illinois are breathing easier as the Illinois legislature throws a lifeline with a bipartisan bill reforming Pharmacy Benefit Managers, or PBMs.

While drug prices keep climbing, states like Arkansas target the only actors with the power to curb them: Pharmacy Benefit Managers (PBMs). But by passing laws like Act 624, legislators risk doing the ...

This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund. Articles in this topic offer timely ...